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Feasibility and Efficacy of Attentional-Control Training in Sickle Cell Disease

Recruiting

Who can join

Ages 8 to 16 · All sexes

Full eligibility criteria
Inclusion Criteria:

* diagnosis of SCD
* ages 8-16 years
* maintained on monthly blood transfusions consistently for at least 3 months.
* patients will be proceed to the intervention phase only if they have a T-score \> 75th percentile for Omission Errors on the Conners' Continuous Performance Test, 3rd Edition (CPT-3) or a T-score \> 75th percentile for the Inattention subscale of the ADHD Rating Scale, Fifth Edition (ADHD-RS-V).

Exclusion Criteria:

* estimated Intelligence Quotient \< 70
* motor, visual, or auditory impairment that prevents computer use
* known diagnosis of a mental health condition that precludes, or takes treatment precedence over, participation in cognitive training
* history of photosensitive seizures
* insufficient English fluency.

About the study

Children with sickle cell disease (SCD) exhibit significantly reduced cognitive functioning (often difficulties with attention) compared to peers and siblings without SCD. EndeavorRx (Akili Interactive Labs: Boston, MA) is an FDA-approved home-based, electronic attentional-control training program designed to treat attention problems in youth. Users access EndeavorRx on a tablet device for 25-30 minutes each day, 5 days per week, for 4 weeks. The program involves training in a game-like environment that repeatedly challenges attentional-control abilities and adapts to user performance, becoming more difficult over time as performance improves. This pilot study is examining the feasibility, acceptability, and preliminary efficacy of EndeavorRx in a sample of 20 children with SCD ages 8-16 who are being treated with chronic blood transfusion therapy.

What is being tested

Sponsor: Children's National Research Institute · Participants: 20 · Started: Dec 20, 2022

Contact the study team

Official record on ClinicalTrials.gov — NCT05099874

Locations in the U.S.

District of ColumbiaChildren's National Hospital, Washington D.C.

Conditions

From ClinicalTrials.gov, data retrieved Oct 2, 2026. Each study sets its own eligibility; the study team decides who can join.